Myiasis: a successful treatment with topical ivermectin.

A67-year-oldmansufferedacerebrovascularstrokeleadingtohemiparesisanddysarthriain1987.Duringthepast2years, he had developed a tumoral lesion on the rightauricleandperiauricularulceration,forwhichnopreviousmedical therapy had been performed. He was seen onconsultationin theemergencyroom complainingofa 7-dayhistoryofedema,erythema,andseverelefthemifacialpain. On physical examination, he disclosed a grayishmembrane covering the ulcerated area, which, uponremoval,revealedapproximately100livelarvae(Fig.1).